NPI | 1407176415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015294) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001194) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2010-06-02 |
Last Update Date | 2021-08-24 |